Organization
THE OAK CLINIC
Active
Parent organization
THE OAK CLINIC
Other names
The Oak Clinic Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE OAK CLINIC
Authorized official
PATRICIA JONES (MANAGING OFFICER)
(817) 572-0009
Entity
Organization
Contact information
Practice address
3838 MASSILLON ROAD, SUITE 365, UNIONTOWN, OH 44685-6215
(234) 251-1105
(234) 251-1104
Mailing address
1620 W NORTHWEST HWY, SUITE 100, GRAPEVINE, TX 76051-3119
(817) 572-0009
(817) 572-0221
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
22762500
OH
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2170045
PK
—
05
—
247728
—
OH
Enumeration date
07/28/2017
Last updated
09/26/2024
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